Routine Eye Examination

fish_02Regular, routine eye examinations are one’s best assurance for maintaining good eye health and good vision throughout life. During this eye examination, all the structures of the eye are checked for health and function, and eye problems may be detected and treated before they become significant. The main parts of the eye examination include:

  • Vision testing – acuity, color vision, depth perception.
  • Refraction – measurement of any lenses needed to optimize the vision.
  • Eye pressure – to check for glaucoma.
  • Slit lamp examination – special illuminated microscopic examination of the front surface, lens, and pupil space of the eye.
  • Funduscopic examination – special illuminated instrument to visualize the inside of the eye (fundus), includes the optic nerve, retina, macula, and vitreous fluid.
  • Motility – check on coordination of eye movements.

Other tests often used for specific indications include:

  • Visual field.
  • Pachymetry (corneal thickness).
  • Ultrasound imaging.
  • Eye photography.
  • Corneal topography.
  • Dry eye testing.

Some parts of the eye examination require dilation of the pupil with drops to allow a better view inside the eye. Certified ophthalmic assistants may do some of the testing, however, Dr. Spector sees every patient and makes all treatment decisions with the patient.

The suggested guidelines for the frequency of these eye examinations are as follows:

Ages 0-2: Eye screening at regular pediatric visits by pediatrician.

  • Ages 3-5 Eye screening every one to two years at regular primary doctor visits.
  • Ages 6-19: At least one examination by an Eye M.D., and as needed.
  • Ages 20-29: Same as above.
  • Ages 30-39: Two eye examinations during these years.
  • Ages 40-65: Eye examination every two to four years.
  • Ages 65 and over: Eye examination every one to two years.

These are the minimal, suggested frequencies for routine eye examinations. Dr. Spector may recommend more frequent eye checkups if any eye conditions are present which would require closer follow-up and monitoring.